PULMONARY AMEBIASIS COMPLICATED WITH MASSIVE LEFT EMPYEMA AND RESPIRATORY FAILURE: A CASE REPORT
| Autor: | Iswanto Iswanto, Yulia Devina Suci, Kristin Purnama Dewi, Ivana Purnama Dewi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:R5-920 Amoebic liver abscess Lung biology business.industry medicine.medical_treatment Mortality rate respiratory failure Dysentery Thoracentesis medicine.disease biology.organism_classification Empyema Surgery respiratory tract diseases Entamoeba histolytica pulmonary amebiasis medicine.anatomical_structure Respiratory failure medicine massive empyema business lcsh:Medicine (General) |
| Zdroj: | Sanamed, Vol 15, Iss 1, Pp 45-49 (2020) |
| ISSN: | 2217-8171 |
| Popis: | Introduction: Amebiasis is defined as a parasitic infection with the protozoan Entamoeba histolytica . Amebiasis in pulmonary and pleural tissue is the second common location of extraintestinal amebias is after amoebic liver abscess. Pulmonary and pleural amebiasishappens in 2-3% of invasive amebiasis patients with mortality rate 5-16%. Case: We report a 22-year-old man with the chief complaint of dyspnea for one week. The patient also felt pain in the left chest, had productive cough and fever. He had a history of dysentery one month ago. BGA evaluation confirmed patient had respiratory failure type 1 with PCO 2 35 and PO 2 46.1. Thoracentesis was performed, the result was brown milk (anchovy paste) color and pleural fluid analysis revealed positive Entamoeba histolytica . Antimicrobial therapy and drainage were given with excellent response. Conclusion: Pulmonary and pleural amebiasis is an uncommon disease, usually occurring on the right side of the lung compared to the left side and rarely causing respiratory failure. Pulmonary amebiasis is a life-threatening, but treatable, condition. Antimicrobial therapy and drainage is an important strategy in pulmonary amebiasis management. |
| Databáze: | OpenAIRE |
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